Description:
Auditing services for End-Stage Renal Disease (ESRD) patients requires a detailed understanding of specific treatment and billing guidelines. Auditors must ensure that all ESRD-related services, including dialysis and related care, are accurately documented and billed according to Medicare and other payer regulations.
During this webinar, we will discuss how these audits will include verifying the appropriateness of service codes, checking for proper documentation of patient conditions and treatments, and ensuring compliance with coverage criteria. Effective auditing helps prevent billing errors, avoid claim denials, and maintain compliance with regulatory standards. Regular audits and ongoing training are essential for managing the complexities of ESRD patient care and optimizing reimbursement processes. Let’s discuss the right ways for improvement.
Verify Service Code Appropriateness: Develop skills to accurately verify the appropriateness of service codes used in billing for ESRD-related services, including dialysis and related care.
Ensure Accurate Documentation: Learn how to check and ensure proper documentation of patient conditions and treatments to support accurate billing and compliance.
Compliance with Coverage Criteria: Understand the coverage criteria for ESRD services to ensure that all billed services meet regulatory requirements and avoid claim denials.
NAMAS presentations are submitted for approval to the AAPC and requested for 1 credit hour for Core A and all applicable certifications, including CPMA.
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